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What Is Osteoarthritis?

Often called "wear and tear" arthritis, osteoarthritis (OA) is the most common form of the disease. In OA, joint cartilageCLOSE Joint cartilage: tissue that covers the ends of the bones, providing cushion for a joint. breaks down over time, causing symptoms like joint pain and stiffness. Read on to learn more about the symptoms, causes, and diagnosis of OA.

OA Symptoms

OA typically comes on slowly. For many, the first signs are joints that ache after physical work or exercise. As the disease progresses, however, other symptoms may occur, including:

  • Pain in a joint during or after movement
  • Tenderness in a joint when you gently push on it
  • Crunching feeling or sound of bone rubbing on bone (called crepitus) when the joint is used
  • Stiffness after periods of inactivity, such as sleeping or sitting

If you are experiencing any of the symptoms described above, it’s important to talk with your doctor about whether or not you could be suffering from OA.

If the skin around your joints turns red and feels warm, you may be
suffering from something other than OA.Talk with your doctor to
learn if you could be suffering from rheumatoid arthritis (RA)
.

 
 

Where Do OA Symptoms Typically Appear?

 

Knees

Because knees are weight-bearing joints, they are commonly affected by OA. If you have OA in your knees, they may feel stiff, swollen, and painful—making it difficult to walk, climb, and get in and out of chairs and bathtubs.

Hips

Hips support the weight of the body while enabling movement of the lower body. If you have OA in your hips, you may have difficulty moving, bending, and dressing. In addition to pain and stiffness in the hips, you may also have pain in your groin, inner thigh, and knees.

Fingers and Hands

When OA occurs in hands and fingers, you may experience stiffness, numbness, and aching. Other symptoms of hand and finger OA include Heberden's nodes CLOSE Heberden’s nodes: small bony knobs that appear on the end joints of fingers. and Bouchards's nodes. CLOSE Bouchards’s nodes: small bony knobs that appear on the middle joints of fingers.

Spine

If you have OA of the spine, you may experience stiffness and pain in the neck or lower back. Sometimes, arthritis-related changes in the spine can put pressure on the nerves, causing weakness or numbness in your arms or legs.

What Causes OA?

There are several factors that can lead to joint damage, like repetitive movement (also known as "wear and tear") or injury. Eventually, this leads to erosion of joint cartilageCLOSE Joint cartilage: tissue that covers the ends of the bones, providing cushion for a joint. .

Cartilage is important because it acts as a shock absorber, allowing the joint to move smoothly. As cartilage breaks down, the joint may lose its normal shape and, eventually, the ends of the bones may begin to rub together, causing pain, swelling, and loss of motion of the joint.

Other Risk Factors Include:

1

Age

Age is the strongest risk factor for OA. It’s possible, however, for OA to start in young adulthood due to injury.

2

Gender

OA affects both men and women. However, before age 45, OA occurs more frequently in men. After age 45, OA is more common in women.

3

Joint Injury

Traumatic injury to a joint increases your risk of developing OA in that joint. Plus, joints that are used repeatedly may be more likely to develop OA.

4

Obesity

The chance of OA generally increases with the amount of weight the body’s joints have to bear. The knee is commonly affected because it is a major weight-bearing joint.

5

Joint Alignment

People with joint deformity, like bowlegs, unequal leg length, and knocked knees, are more likely to develop OA in those joints.

6

Heredity

An inherited defect in one of the genesCLOSE Genes: genetic material that is passed on to you from your parents that determines your traits. responsible for creating cartilage may be a factor in developing OA.

How Is OA Diagnosed?

There are several tests and tools your doctor may use to diagnose OA. First, he or she may ask questions about your symptoms. Then, your doctor will likely give you a physical examination to check the joints that are bothering you.

You may also need other tests to help confirm the diagnosis of OA and determine the extent and severity of joint damage, including:

X-ray examination

X-rays

X-rays can help your doctor determine whether you have OA or another form of arthritis. A series of X-rays obtained over time can also show joint damage progression.

Doctor examining patient's knees

Joint Aspiration

Your doctor may perform joint aspiration. In this procedure, your doctor uses a needle to drain fluid from a joint and then examines it.


If you experience joint pain or stiffness for more than a few weeks, be sure to talk with your doctor. The sooner you receive a diagnosis, the sooner you can begin treatment and find relief from your symptoms.